Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AVALON WELLNESS LIVING LLC
NPI 1245163179
Community Based Residential Treatment Facility, Mental Illness in Beaverton, OR

Active since June 08, 2026
19495 SW BLANTON ST, BEAVERTON, OR 97078(971) 371-4474 Get Directions Write a Review

NPPES record added: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avalon Wellness Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON WELLNESS LIVING LLC (NPI 1245163179) is a healthcare organization registered as a community based residential treatment facility, mental illness in Beaverton, Oregon and active in the NPI registry since June 2026. The organization lists Rahel Masresha, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1245163179
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameAVALON WELLNESS LIVING LLC
Location Address19495 SW BLANTON STBeaverton, OR 97078-1220
Mailing Address13205 Sw Watkins AvePortland, OR 97223-3870
Organization SubpartYes
Authorized OfficialRahel MasreshaAdministrative Director · (503) 740-4522
Enumeration DateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1245163179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
19495 SW BLANTON ST, Beaverton, OR 97078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Wellness Living LLC's NPI number?

The NPI number for Avalon Wellness Living LLC is 1245163179. It was assigned to this organization in the NPPES registry on June 8, 2026.

Where is Avalon Wellness Living LLC located?

Avalon Wellness Living LLC is located at 19495 SW Blanton St, Beaverton, OR 97078. The listed phone number is (971) 371-4474.

What is Avalon Wellness Living LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Avalon Wellness Living LLC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.